NPIMap

Organization Active NPI

James E Johnson DDS PS

  • Dentist
  • Enumclaw, WA
National Provider Identifier
1699126292
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8188 Issued in WA
Legal business name
JAMES E JOHNSON DDS PS
Practice address
1233 Cole St
Enumclaw, WA 98022-2602
Phone
(360) 825-5527
Fax
(360) 802-2563
NPI assigned
Jun 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kim Sullivan
Title
Office Manager
Phone
(360) 825-5527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 8188 WA Primary

Addresses

Primary practice location

1233 Cole St
Enumclaw, WA 98022-2602

Mailing address

1233 Cole St
Enumclaw, WA 98022-2602
Phone (360) 825-5527

National Provider Directory

National Provider Directory

Locations

1233 Cole St
Enumclaw, WA 98022
Phone (360) 825-5527

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466726400000",
    "number": "1699126292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 COLE ST",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980222602",
            "telephone_number": "360-825-5527",
            "fax_number": "360-802-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 COLE ST",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980222602",
            "telephone_number": "360-825-5527",
            "fax_number": "360-802-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES E JOHNSON DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-825-5527"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "8188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enumclaw, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.